目的探讨中医药对哮喘缓解期患者进行体质干预后的临床疗效及其对生活质量和肺功能的影响。方法选择杭州市中医院及浙江省立同德医院2012年6月—2013年7月期间门诊哮喘缓解期患者94例,随机分为治疗组(48例)和对照组(46例),对照组采用西...目的探讨中医药对哮喘缓解期患者进行体质干预后的临床疗效及其对生活质量和肺功能的影响。方法选择杭州市中医院及浙江省立同德医院2012年6月—2013年7月期间门诊哮喘缓解期患者94例,随机分为治疗组(48例)和对照组(46例),对照组采用西药沙美特罗替卡松粉吸入剂抗炎解痉治疗,治疗组在对照组基础上根据体质加用中医药联合治疗。疗程12周。比较2组临床疗效、中医症状体征总积分、哮喘控制测试(asthma control test,ACT)评分及肺功能的改变情况。结果治疗组总有效率95.83%,对照组78.26%,2组比较差异有统计学意义(P<0.05)。2组在治疗各阶段中医症状体征总积分均呈减少趋势,且治疗6周、9周及12周后,治疗组低于对照组,比较差异有统计学意义(P<0.05,P<0.01)。2组在治疗各阶段ACT评分均呈增加趋势,且治疗12周后,治疗组高于对照组,比较差异有统计学意义(P<0.05)。治疗6周后,2组肺功能FEV1、FVC较治疗前均明显提高(P<0.01);治疗12周后2组FEV1、FEV1%、FVC较治疗前均明显提高(P<0.01),且组间比较差异有统计学意义(P<0.05);2组FEV1/FVC(%)较治疗前均有显著提高(P<0.01)。结论在哮喘缓解期运用中医药干预体质治疗,与单纯西医治疗相比,能有效改善哮喘缓解期患者的临床症状,提高临床疗效及患者生活质量,改善肺通气功能。展开更多
The Constitution in Chinese Medicine Questionnaire [CCMQ] organizes 9 body constitutions according to Traditional Chinese Medicine [TCM]. The translation was realized by a Medical Doctor [MD] specialized in TCM and th...The Constitution in Chinese Medicine Questionnaire [CCMQ] organizes 9 body constitutions according to Traditional Chinese Medicine [TCM]. The translation was realized by a Medical Doctor [MD] specialized in TCM and the back translation by an english-speaking MD. Comprehensibility assessment was performed (N = 40, main scores ranged from 4.20 to 4.95). On the test-retest reliability Cronbach’s alpha was 0.920 in the first application and 0.943 in the second, the intraclass correlation scores ranged between good and excellent (0.6 - >0.80). The results show that the adaptation of the CCMQ is valid and ready to be used.展开更多
文摘目的探讨中医药对哮喘缓解期患者进行体质干预后的临床疗效及其对生活质量和肺功能的影响。方法选择杭州市中医院及浙江省立同德医院2012年6月—2013年7月期间门诊哮喘缓解期患者94例,随机分为治疗组(48例)和对照组(46例),对照组采用西药沙美特罗替卡松粉吸入剂抗炎解痉治疗,治疗组在对照组基础上根据体质加用中医药联合治疗。疗程12周。比较2组临床疗效、中医症状体征总积分、哮喘控制测试(asthma control test,ACT)评分及肺功能的改变情况。结果治疗组总有效率95.83%,对照组78.26%,2组比较差异有统计学意义(P<0.05)。2组在治疗各阶段中医症状体征总积分均呈减少趋势,且治疗6周、9周及12周后,治疗组低于对照组,比较差异有统计学意义(P<0.05,P<0.01)。2组在治疗各阶段ACT评分均呈增加趋势,且治疗12周后,治疗组高于对照组,比较差异有统计学意义(P<0.05)。治疗6周后,2组肺功能FEV1、FVC较治疗前均明显提高(P<0.01);治疗12周后2组FEV1、FEV1%、FVC较治疗前均明显提高(P<0.01),且组间比较差异有统计学意义(P<0.05);2组FEV1/FVC(%)较治疗前均有显著提高(P<0.01)。结论在哮喘缓解期运用中医药干预体质治疗,与单纯西医治疗相比,能有效改善哮喘缓解期患者的临床症状,提高临床疗效及患者生活质量,改善肺通气功能。
文摘The Constitution in Chinese Medicine Questionnaire [CCMQ] organizes 9 body constitutions according to Traditional Chinese Medicine [TCM]. The translation was realized by a Medical Doctor [MD] specialized in TCM and the back translation by an english-speaking MD. Comprehensibility assessment was performed (N = 40, main scores ranged from 4.20 to 4.95). On the test-retest reliability Cronbach’s alpha was 0.920 in the first application and 0.943 in the second, the intraclass correlation scores ranged between good and excellent (0.6 - >0.80). The results show that the adaptation of the CCMQ is valid and ready to be used.
